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October 18, 2022; 99 (16) Editorial

The Challenging Puzzle of Migraine, Age, and Vascular Health

View ORCID ProfileSimona Sacco, View ORCID ProfileLuciano A. Sposato
First published August 19, 2022, DOI: https://doi.org/10.1212/WNL.0000000000201071
Simona Sacco
From the Department of Biotechnological and Applied Clinical Science (S.S.), University of L'Aquila, Italy; Departments of Clinical Neurological Sciences (L.A.S.), Epidemiology and Biostatistics and Anatomy and Cell Biology, Schulich School of Medicine and Dentistry; Heart & Brain Laboratory (L.A.S.); Robarts Research Institute (L.A.S.), Western University; and Lawson Health Research Institute (L.A.S.), London, Canada.
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  • ORCID record for Simona Sacco
Luciano A. Sposato
From the Department of Biotechnological and Applied Clinical Science (S.S.), University of L'Aquila, Italy; Departments of Clinical Neurological Sciences (L.A.S.), Epidemiology and Biostatistics and Anatomy and Cell Biology, Schulich School of Medicine and Dentistry; Heart & Brain Laboratory (L.A.S.); Robarts Research Institute (L.A.S.), Western University; and Lawson Health Research Institute (L.A.S.), London, Canada.
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The Challenging Puzzle of Migraine, Age, and Vascular Health
Simona Sacco, Luciano A. Sposato
Neurology Oct 2022, 99 (16) 681-682; DOI: 10.1212/WNL.0000000000201071

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The association between migraine and cardiovascular risk is well established but poorly understood.1 Migraine, especially with aura, is an independent risk factor for stroke and ischemic heart disease.1 Although potential migraine-related mechanisms may explain a specific brain vulnerability to ischemia, the pathophysiologic pathways leading to an increased risk of cardiovascular events remain unclear. Because of differences in methodology and definitions, current evidence is conflicting and does not provide unbiased support to the role of traditional risk factors as drivers of cardiovascular risk in patients with migraine.2

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  • Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the editorial.

  • See page 687

  • Received May 22, 2022.
  • Accepted in final form June 22, 2022.
  • © 2022 American Academy of Neurology
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